FORM E-3
SUPPLEMENTAL EXPENDITURE INFORMATION
NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
P.O. Box 185, Trenton, NJ 08625-0185
(609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532)
Website: www.elec.nj.gov
Amendment
To be filed by a committee within 48 hours of any expenditure of money or other thing of value in excess of $1,900 in the aggregate
made, incurred, or authorized from April 1 up to and including the day of any primary election in which the committee is
participating, or from October 1 up to and including the day of any general election in which the committee is participating.
Filing Period (Select One)
From April 1st up to and including the Primary Election Date
From October 1st up to and including the General Election Date
Full Committee Name
Street Address
City
State
Zip Code
*(Area Code) Day Telephone
*(Area Code) Evening Telephone
ELEC Identification Number
EXPENDITURE INFORMATION
Payment Date
Check No.
Purpose
Amount Incurred/Not Paid
Amount Disbursed
Full Name of Payee
Independent Expenditure
Full Mailing Address
Expenditures on Behalf of Candidate(s)/Committee(s) (Identify Recipient)
Candidate/Committee Full Name
Election Date
Election District or Municipality
Prorated Amount
Payment Date
Check No.
Purpose
Amount Incurred/Not Paid
Amount Disbursed
Full Name of Payee
Independent Expenditure
Full Mailing Address
Expenditures on Behalf of Candidate(s)/Committee(s) (Identify Recipient)
Candidate/Committee Full Name
Election Date
Election District or Municipality
Prorated Amount
Grand Total
Registration Number
PIN
Date
Treasurer
*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.
sForm E-3 Revised Jan. 2021
New Jersey Election Law Enforcement Commission
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